Is Visibility Giving You a Competitive Advantage?
EDI Claims
Business Challenge The natural dri- in companies implemen3ng EDI Claims is to focus solely on complying with trading partners’ requirements. This makes it hard to foresee the impact such an invasive process will have across your organiza3on. The complexity involved with EDI, and the challenge of managing claim data, perpetuates the problem. You end up with an architecture that was not designed to scale, adapt to new trading partners and requirements, or 3ghtly integrate with exis3ng or future internal applica3ons.
How This Affects You You achieve EDI compliance, but you unwillingly implement a disjointed process that is not 3ghtly integrated. You struggle with every new change, and must allocate costly resources to adapt. Your claim data is increasingly difficult to manage, view, validate, troubleshoot; your valuable technical and business resources are being overburdened.
Customer Success
The Results Wouldn’t it be great if… You could implement a proven solu3on that not only makes you EDI compliant, but is flexible enough to handle your unique internal requirements? You could quickly and easily scale to handle change, add trading partners and transac3ons, and provide your internal systems with clean, validated data? You could handle EDI and non-‐EDI claim data in a standardized process?
“We did not want to have to react to each trading partner’s unique requirements. We wanted to start with a solution that was !exible enough to support our entire trading partner community.”
Faced with the need to quickly integrate new trading partners and transac3on sets and meet tough government mandates, Bravo Health realized they needed a comprehensive solu3on designed with the flexibility to not only achieve EDI compliance, but to seamlessly integrate with internal applica3ons and handle their unique internal needs. They found a partner that could handle the en3re process and bring the foresight and experience gained from similar projects.
1733 West Irving Park Road, Suite 317, Chicago, IL 60613 USA | 877.375.2023 www.focused-‐ec.com Copyright © 2012 Focused E-‐Commerce, Inc. All rights reserved.
1. Achieved > 98% claim accuracy 2. Was accepted into CMS Claim Acceptance
Pilot Program 3. Gained Medicaid book of business
Industry Fact: 85% of Execu,ves list internal integra,on and visibility as very important or cri,cally important. -‐IBM Global Chief Supply Chain Officer Study
If • You believe your EDI investment should do more
than just make you compliant…
• You would like to avoid the costly and painful “learning curve” of con3nually working towards a mature EDI solu3on…
• You would like to be able to handle new requirements easily and beat cri3cal deadlines…
94% of respondents agree that companies will compete as much through superior processes and service solutions as through superior products. - Enhancing Customer-Centric Supply Chains: A SCM World Research Study
What you Gain • You get seamless EDI integra3on with a complete,
proven end-‐to-‐end solu3on.
• You benefit from lower implementa3on costs, budget predictability, and shorter project 3melines.
• You get a forward-‐thinking solu3on built to quickly and easily handle new requirements.
What it is Focused E-‐Commerce’s Complete EDI Solu3on for Healthcare is a comprehensive approach. Focused E-‐Commerce has assessed the needs of companies integra3ng EDI for Healthcare and built a drama3cally different team of experts. They implement an architecture that not only standardizes your data, but gives you the ability to validate and proac3vely act on that data. You get a solu3on designed to seamlessly handle upgrades and migra3ons. You get access to a suite of applica3ons that will enable you to extend your offerings and standardize data across channels.
Then You need Focused E-‐Commerce’s Complete EDI Solu,on for Healthcare – a unique approach that includes a proven roadmap for EDI and Healthcare integra3on which leverages “real world” solu3ons to challenges faced by companies as unique as yours.
Assess
Your success starts with understanding your needs, both internal and external. This is done with an on-‐site assessment that is focused on your business and your processes. Your director level, sales people, and end-‐users are consulted to understand your processes and ensure you receive the maximum benefit.
Solve
In addi3on to EDI communica3on and transla3on so-ware, you may benefit from tools used by organiza3ons like yours to help standardize and validate data before it hits internal applica3ons. You can ensure EDI does not become a black box and implement tools to enhance visibility and no3fica3on. Your rela3onships with your trading partners will evolve, as will your internal processes and capabili3es. You will have a flexible plakorm that will scale and posi3on you for extraordinary growth.
1733 West Irving Park Road, Suite 317, Chicago, IL 60613 USA | 877.375.2023 www.focused-‐ec.com Copyright © 2012 Focused E-‐Commerce, Inc. All rights reserved.